Healthcare Provider Details

I. General information

NPI: 1942231337
Provider Name (Legal Business Name): CYNTHIA LYNNE DIMAURO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 NE 10TH ST STE 1C
OKLAHOMA CITY OK
73104-5417
US

IV. Provider business mailing address

12112 SW 50TH ST
MUSTANG OK
73064-0020
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-2663
  • Fax: 405-271-3074
Mailing address:
  • Phone: 412-600-1746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD037589E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number15636
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: